Individual
CHRISTINE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1800 N KEMORE AVE, LOS ANGELES, CA 90027
(619) 851-9128
Mailing address
1800 N KENMORE AVENUE, LOS ANGELES, CA 90027
(619) 851-9128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
617
CA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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